Individual
NICHOLAS JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(415) 793-1716
Mailing address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(415) 793-1716
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD 60450666
WA
207P00000X
Emergency Medicine Physician
MT198202
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT198202
PA
Other
Enumeration date
06/23/2010
Last updated
09/23/2015
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